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Govt approves up to 262% hike in prices of nearly 100 medicines

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ISLAMABAD: The federal government has approved a hike as high as 262% in the prices of nearly 100 local and imported medicines in Pakistan, a notification issued Thursday said.

Long-term shortages of some key or lifesaving medicines prompted the federal cabinet to allow rationalising prices of drugs that had been reported to be in short supply due to unrealistically low prices.

This change was approved for drugs in the “hardship category” on the recommendation of the Drug Pricing Committee (DPC) under the Drugs Pricing Policy of 2018, said an official of Drug Regulatory Authority of Pakistan (DRAP).

Over the years, the allowed price increase of these drugs were insufficient to prevent non-availability and consequent selling of such drugs on the black-market, as well as to a lack of control of the quality of drugs obtained in this way, outside official channels.

Taking these factors into consideration, the DPC in its 37th, 38th and 39th meetings recommended increases in the prices of these non-available or scarce drugs to the Federal Government.

According to the notification, seen by Geo News, the drugs that have become costlier include those used to treat fever, headache, heart diseases, malaria, diabetes, sore throat, flu, abdominal and stomach pains, skin diseases, postpartum issues, and eye, ear, tooth, mouth, and blood infections, as well as certain antibiotics.

Among these are 68 local medicines and 26 imported ones.

It added that pharmaceutical companies would not be allowed to raise prices further until June 2021.

The DRAP official said that the list of drugs whose prices have been allowed to increase include:

- furosemide injections (for emergency use in high blood pressure)

- acetazolamide tablets (for glaucoma)

- hydralazine tablets (for lowering blood pressure)

- carbamazepine tablets and suspension (for epilepsy)

- atropine sulphate injection (used in emergencies)

- magnesium sulphate (used to treat seizures due to pre-eclampsia during pregnancy)

- hydroxyurea, daunorubicin, bleomycin (all used in the treatment of cancer)

- nitroglycerin and glyceryl trinitrate (emergency heart medicines)

- anti-rabies vaccine

As an example, the price of acetazolamide tablets has been fixed at Rs 60.45 for a pack of 30 tablets for over a decade, despite increases in the cost of the raw material needed to produce this drug in the international market, the devaluation of the rupee and other factors such as increase in the price of packaging material and reduced volume of usage compared to the past.

“What this has meant is that this drug, which is not commonly used, but is nevertheless essential in some clinical situations, has been available only on the black-market, at greatly inflated prices,” he added.

The decision to allow necessary increases in the prices of such drugs will enable viable manufacture and ready availability of these essential medications to the public, instead of forcing people to purchase medicines of dubious quality at exorbitant black-market prices.

Speaking to the media, Special Assistant to the Prime Minister on Health Dr Faisal Sultan said drugs that are more expensive now "are the life-saving ones and those with old formulas".

"These drugs become unavailable due to a lack of appropriate change in their prices and end up being sold on the black market," Dr Sultan said.

"It is important to ensure that the prices of medicines be affordable to everyone," he added, noting that drugs available at higher prices earlier will now be readily available instead.

The job of the government and DRAP, he explained, is to ensure the availability of medicines to everyone in the country.

The SAPM said the prices of such medicines had to be bumped up slightly, "just enough to make sure they are available to the common people".

Addressing an assumption that the federal government may have given in to drug-makers' demands, he said: "We did now bow down to pressure from pharmaceutical companies.

Dr Sultan said a list of medicines that have become costlier would be posted on the website.

"We are working on a new pricing policy," he said, adding that the government was bringing reforms in all health institutions.

Source: https://www.geo.tv/latest/309677-pa...as-262-hike-in-prices-of-almost-100-medicines
 
It is being said this increase will ensure availability of medicine in stores but that is very poor rationale.
 
generic medicine is the way to go for developing countries. They use the same salts and contents but
just that they are not the branded ones.
The code of ethics issued by the Medical Council of India in 2002 calls for physicians to prescribe drugs by their generic names only. Pakistan should follow the same.
 
Is there maximum retail price in various goods in Pakistan or not?

In Ukraine, there was no maximum retail price so especially the medicine prices varied a lot from pharmacy to pharmacy. They will just stick a price tag on the medicine and that becomes the price.
 
Is there maximum retail price in various goods in Pakistan or not?

In Ukraine, there was no maximum retail price so especially the medicine prices varied a lot from pharmacy to pharmacy. They will just stick a price tag on the medicine and that becomes the price.

Medicine business, like many others in Pakistan, is a very murky business.

Stockpiling is frequent, medical representatives buy doctors who then write prescriptions of the medicines of the said company exclusively, medicine is oversold by companies to wholesalers to meet monthly targets, and these wholesale resellers then sell to medical stores where many of the salespeople aren't having any training and fake D-pharmacy licenses are rife.

That said, the heading of the OP is misleading by just stating the price hike in terms of percentage instead of giving absolute figures. When a thing goes up from Rs. 2 to Rs. 3 the percentage increase is in hundreds yet consumer impact is minimal. The need to grab attention destroys the narrative behind the actual factual news for most news outlets (if not all)
 
Medicine business, like many others in Pakistan, is a very murky business.

Stockpiling is frequent, medical representatives buy doctors who then write prescriptions of the medicines of the said company exclusively, medicine is oversold by companies to wholesalers to meet monthly targets, and these wholesale resellers then sell to medical stores where many of the salespeople aren't having any training and fake D-pharmacy licenses are rife.

That said, the heading of the OP is misleading by just stating the price hike in terms of percentage instead of giving absolute figures. When a thing goes up from Rs. 2 to Rs. 3 the percentage increase is in hundreds yet consumer impact is minimal. The need to grab attention destroys the narrative behind the actual factual news for most news outlets (if not all)

This is the case here as most medicines increased by mere rupees but can we trust the OP to be truthful and honest? He's the most dishonest poster here
 
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Medicine business, like many others in Pakistan, is a very murky business.
You are such a gentleman. This is now more dirty my friend

Stockpiling is frequent, medical representatives buy doctors who then write prescriptions of the medicines of the said company exclusively,
Why share the profits with third party. Doctors became greedy and smarter with time. Many groups of 10-20 Doctors started their own Pharma Companies that manufacturs just 8-10 drugs most used by their group.

dcotors medicine is oversold by companies to wholesalers to meet monthly targets, and these wholesale resellers then sell to medical stores
Similar things happenned at level of Medical stores. Why share the profit with Doctors and Pharma Company. They started to sell alternative brands that give them more margin %.
Getting smarter with time, Groups of 2-3 medical stores through combine investment now manufacture their own brands of 20-30 most used drugs. No matter what the presceiption of doctor is, guys at medical store will give you their own manufactured brands


where many of the salespeople aren't having any training and fake D-pharmacy licenses are rife. its a family business

Digitalized Chain Pharmacies, networked with Doctors clinic/Hospital is the way forward. But it isn't happening anytime soon.
 
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Digitalized Chain Pharmacies, networked with Doctors clinic/Hospital is the way forward. But it isn't happening anytime soon.

Damn, didn't know this.

I feel health, and education sector should not be businesses. Back in the day, the two most common businesses were

1. opening a small school in every gali mohalla (/masjid and get free donations)
2. opening a medical hospital

It's bound to happen that if these are profit driven fields, the general public will both suffer and have the least profit in this chain.
 
This is the case here as most medicines increased by mere rupees but can we trust the OP to be truthful and honest? He's the most dishonest poster here

India has one of the cheapest medicines around but even by our standard, the genera of those medicines (mentioned in the article) aren't cheap. So it will change the price more or less to a siginificant amount.
 
Damn, didn't know this.

I feel health, and education sector should not be businesses. Back in the day, the two most common businesses were

1. opening a small school in every gali mohalla (/masjid and get free donations)
2. opening a medical hospital

It's bound to happen that if these are profit driven fields, the general public will both suffer and have the least profit in this chain.

Prices in the UK have shot up too. Ever since the private sector got involved seems to be some strange fluctuations in certain areas. Even the NHS is being forced to pay much higher prices to maintain supply of crucial medicines.
 
generic medicine is the way to go for developing countries. They use the same salts and contents but
just that they are not the branded ones.
The code of ethics issued by the Medical Council of India in 2002 calls for physicians to prescribe drugs by their generic names only. Pakistan should follow the same.
Will be alot of problems, the pharmacy people will keep on selling medicines with no standard and will keep the dame price. Not a way to ho.
 
Medicine business, like many others in Pakistan, is a very murky business.

Stockpiling is frequent, medical representatives buy doctors who then write prescriptions of the medicines of the said company exclusively, medicine is oversold by companies to wholesalers to meet monthly targets, and these wholesale resellers then sell to medical stores where many of the salespeople aren't having any training and fake D-pharmacy licenses are rife.

That said, the heading of the OP is misleading by just stating the price hike in terms of percentage instead of giving absolute figures. When a thing goes up from Rs. 2 to Rs. 3 the percentage increase is in hundreds yet consumer impact is minimal. The need to grab attention destroys the narrative behind the actual factual news for most news outlets (if not all)
Agreed except last para, many of the commonly used medicine,s price are beyond the level of out people. I have started ti prescribe the medicines of local companies with low prices but these people setting in pharmacy shops are goons, been fighting to give some benefit to my patients . Doctors have been a problem as well.
 
Agreed except last para, many of the commonly used medicine,s price are beyond the level of out people. I have started ti prescribe the medicines of local companies with low prices but these people setting in pharmacy shops are goons, been fighting to give some benefit to my patients . Doctors have been a problem as well.

I am not stating that the price of medicine has shot up or not, I'm only stating that you cannot give half the information - being a data analyst myself, it's criminal to report just one half of the dataset.

Percentage increase and current number are a pair, you cannot give one ever.

For example - the price has increased by 200 percent tells nothing.
If instead, it states that the price has increased from 50 to 75 (50% increase) the dataset is complete.
 
Damn, didn't know this.

I feel health, and education sector should not be businesses. Back in the day, the two most common businesses were

1. opening a small school in every gali mohalla (/masjid and get free donations)
2. opening a medical hospital

It's bound to happen that if these are profit driven fields, the general public will both suffer and have the least profit in this chain.

I believe Science and Social studies textbooks of standard 6 to 10 should include a GK chapter of Major illnesses. Diabetes, Hypertension, Hepatitis, TB.

As it is now, oppotunistic doctors and pharmacies manipulate patients because people are so naive.
 
This is the case here as most medicines increased by mere rupees but can we trust the OP to be truthful and honest? He's the most dishonest poster here

I merely posted an article. Are you sure it is only an increase of a few rupees?
 
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I merely posted an article. Are you sure it is only an increase of a few rupees?

For most medicines yeah. It was pointed out in articles before on PP.
 
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LAHORE: The Drug Regulatory Authority of Pakistan (DRAP) has notified the increase in prices of drugs from 22 to 35% second time in a month after approval from the Federal Cabinet, The News reported Tuesday.

The DRAP notification, dated October 5, 2020, approved an increase in the rates of 235 drugs ranging between 22% and 35%.

According to the publication, the latest spike in prices has come head over heels of up to a massive 510% increase in prices of 94 medicines only in last month.

Read more; Govt approves hike in prices of nearly 100 medicines

The federal cabinet okayed the raise earlier this month, which practically is the second approval of medicines within one month.

The DRAP’s earlier notification, dated September 17, 2020, to grant approval of increase in prices of 94 drugs was released two weeks later on September 29, while the second notification, dated October 5, 2020, granting approval of increase in prices of 235 medicines was released again two weeks later on October 19.

New drugs

Meanwhile, Special Assistant to the Prime Minister on Political Communication Dr Shahbaz Gill has said that these were the new drugs whose prices have been fixed for the first time so there is no question of increase.

‘Hike approved to ensure availability’

While explaining the reasons behind the September price hike, Special Assistant to the Prime Minister on Health Dr Faisal Sultan had said drugs that are more expensive now "are the life-saving ones and those with old formulas".

"These drugs become unavailable due to a lack of appropriate change in their prices and end up being sold on the black market," Dr Sultan had said.

"It is important to ensure that the prices of medicines be affordable to everyone," he added, noting that drugs available at higher prices earlier will now be readily available instead.

The job of the government and DRAP, he explained, is to ensure the availability of medicines to everyone in the country.
 
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